JAYCORP LLC (NPI# 1497073357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497073357 |
| Entity Type | Organization |
| Organization Name | JAYCORP LLC |
| Practice Address |
8216 E 12 Mile Rd Warren MI 48093-2737 |
| Mailing Address |
416 S Main St Northville MI 48167-1647 |
| Practice Telephone | 5865742323 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |
| Authorized Official Name | DR. JEFFREY BUTROS JAGHAB (OWNER) |
| Authorized Official Telephone | 2483492750 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901016324 | MI | Dental Providers |
| Street Address |
8216 E 12 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003957747 | Terry Cooper Taylor | Dentist | 8216 E 12 Mile Rd, Warren, MI 48093-2749 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1053941849 | North Pond Dental Care | Dentist | 2467 Altantic Hwy, Warren, ME 04864 | 2020-01-21 |
| 1063071249 | Unique Smiles Dental | Dentist | 28315 Hoover Rd, Warren, MI 48093-4151 | 2019-06-11 |
| 1467968941 | Brighter Dental Care (warren) | Dentist | 55 Mountain Blvd Ste 205, Warren, NJ 07059-2627 | 2017-12-20 |
| 1821503269 | Tru Dental Michigan II, Pllc | Dentist | 25900 Dequindre Rd, Warren, MI 48091-6107 | 2017-12-07 |
| 1568975126 | Michele M. Tulak-gorecki | Dentist | 1905 Marlow Dr., Warren, MI 48092-2175 | 2017-11-06 |
| 1154770717 | Zachary Scott Colclasure | Dentist | 470 Bennett Dr Ste A, Warren, IN 46792-9273 | 2016-06-05 |
| 1518316173 | Abigail Jayne Colclasure | Dentist | 470 Bennett Dr Ste C, Warren, IN 46792-9273 | 2016-06-05 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1124409313 | Shawn Nguyen | Dentist | 27600 Hoover Rd Ste 1, Warren, MI 48093-7721 | 2015-06-12 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.